E aʻo kākou e pili ana i ka lāʻau lapaʻau chemotherapy kūikawā (HIPEC) i hāʻawi ʻia no ka maʻi ʻaʻai ʻōpū i laha

He mea maʻamau ke manaʻo nui i ka makaʻu ke haʻi aku kāu kauka iā ʻoe ua laha ka maʻi kanesa i loko o kou ʻōpū, ʻo ia hoʻi, kou lua ʻōpū. Ma waho aʻe o ka chemotherapy maʻamau, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau ʻoi aku ka maikaʻi e pili pono ana i kēia mau hihia. Ua kapa ʻia kēia ʻo HIPEC. E nānā kākou i ke ʻano o ia mea.

I ka ʻōlelo maʻalahi, he aha ʻo HIPEC?

ʻO ke ʻano piha o HIPEC ʻo ia ka Hyperthermic Intraperitoneal Chemotherapy . ʻOiai paha e kani paʻakikī ka inoa, he mea maʻalahi loa ka mea e hana ʻia. He ʻāpana ʻelua kēia o ka mālama ʻana i ka maʻi kanesa.

E noʻonoʻo he puʻupuʻu kanesa kou i loko o kou ʻōpū (lua ʻōpū). ʻO kēia lua kahi e loaʻa ai ko kākou mau kino koʻikoʻi e like me ko kākou akepaʻa a me ka ʻōpū.

1. Ka hana mua: E hana mua nā kauka i ke ʻoki kino a wehe i ka hapa nui o nā puʻupuʻu kanesa i ʻike ʻia i loko o ka ʻōpū.

2. Ka lua o ka hana: A laila, no ka luku ʻana i nā hunaola kanesa i koe i ʻike ʻole ʻia e ka maka, ua hoʻokomo pololei ʻia kahi hopena chemotherapy i hoʻomehana nui ʻia (Hyperthermic) i loko o ka ʻōpū (intraperitoneal) e holoi pono a wehe i ka lua.

I ka ʻōlelo maʻalahi, pili kēia lāʻau i ka wehe ʻana i nā puʻupuʻu kanesa a me ka holoi ʻana i loko o ka ʻōpū me nā lāʻau chemotherapy i hoʻomehana ʻia e luku ai i nā hunaola kanesa i koe.

He aha nā ʻano maʻi kanesa e hāʻawi ʻia ai kēia lāʻau lapaʻau?

Hoʻohana pinepine ʻia ka lāʻau HIPEC no nā maʻi kanesa i laha (metastasized) mai kahi ʻē aʻe o ke kino a i ka ʻōpū, ʻo ia hoʻi, ka lua ʻōpū. Hoʻohana ʻia kekahi manawa no nā maʻi kanesa e hoʻomaka ana i loko o ka ʻōpū ponoʻī.

Pehea ʻoe e hoʻomākaukau ai ma mua o kēia ʻoki kino?

He ʻoki kino koʻikoʻi loa kēia a he lāʻau lapaʻau nui hoʻi. No laila, he mea nui loa e noho ʻoe i ke olakino kino a me ka noʻonoʻo maikaʻi loa ma mua o kou hana ʻana. E haʻi aku kāu kauka iā ʻoe i nā mea āpau e pono ai ʻoe e ʻike e hoʻomākaukau iā ʻoe. Hiki i kēia ke komo pū me:

• Inā ʻoe e puhipaka, e hoʻōki loa.
• Ke pale nei i ka waiʻona.
• E hoʻoikaika i kou mau māmā ma ka hana ʻana i nā hoʻomaʻamaʻa hanu (me ka hoʻohana ʻana i kahi mea e like me ka incentive spirometer).
• ʻO ka hui pū ʻana me kahi hui kākoʻo me nā poʻe ʻē aʻe e hakakā nei me ka maʻi kanesa e like me ʻoe a i ʻole ka hālāwai ʻana me kahi kākāʻōlelo hiki ke lilo i ala maikaʻi loa e hoʻoikaika ai i kou olakino noʻonoʻo.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

E like me kā mākou i kamaʻilio ai ma mua, he hana ʻelua ʻāpana kēia.

Māhele ʻEkahi: ʻO ke ʻoki kino Cytoreductive (CRS)

ʻO kēia ka hana mua a nui loa. E ʻoki a wehe nā kauka ʻoki i nā ulu ʻana o ke kanesa a me nā ʻiʻo maʻi i loko o kou ʻōpū. E noho ʻoe ma lalo o ka anesthesia laulā ma kēia kaʻina hana holoʻokoʻa. No laila, ʻaʻole ʻoe e ʻeha. E hiamoe nui ana ʻoe.

Māhele ʻElua: Lapaʻau HIPEC

Hana ʻia kēia ʻāpana ma hope koke o ka wehe ʻia ʻana o ka puʻupuʻu kanesa, ʻoiai ʻoe ma lalo o ka anesthesia.

1. Ke hoʻokomo ʻana i kahi ʻōmole: E hana ke kauka i kahi ʻoki liʻiliʻi ma ka ʻili o kou ʻōpū a hoʻokomo i kahi ʻōmole (catheter) ma o ia mea i loko o kou ʻōpū. Hoʻopili ʻia kēia ʻōmole i kahi mīkini e hoʻomehana i nā lāʻau chemotherapy.

2. Ke lawelawe ʻana i ka chemotherapy wela: Hoʻomehana kēia mīkini i ka chemotherapy a hiki i kahi o 41 degere Celsius (108 degere Fahrenheit). A laila hoʻopili ʻia ka wai wela ma o ka ʻōmole i loko o kou ʻōpū.

3. Ke hāʻawi ʻana i ka lāʻau lapaʻau: A laila, e hoʻohuli mālie ke kauka i kou kino mai kēlā ʻaoʻao a i kēia ʻaoʻao e hōʻoia i ka hiki ʻana o ka lāʻau lapaʻau i kēlā me kēia kihi a me nā lua o kou ʻōpū. E like me kā mākou e lūlū ai i kahi kīʻaha, holoi pono kēia i loko o kou ʻōpū me ka lāʻau lapaʻau.

4. Ka wehe ʻana i ka lāʻau lapaʻau: Ma hope o 30 a 90 mau minuke, lawe hou ʻia nā lāʻau chemo i hoʻouna ʻia i loko o ka ʻōpū. A laila, holoi hou ʻia ka ʻōpū me ka wai saline.

5. Ke humuhumu ʻana i nā ʻoki: ʻO ka hope loa, ua humuhumu ʻia nā ʻoki a pau i hana ʻia i ka wā o ke ʻoki ʻana a pani ʻia.

ʻO ke kaʻina holoʻokoʻa, me ke ʻoki kino a me HIPEC, hiki ke lōʻihi ma waena o 5 a 10 mau hola , ma muli o ka mamao o ka laha ʻana o ke kanesa i loko o ka ʻōpū.

He aha nā pono a me nā pilikia o ka mālama ʻana iā HIPEC?

E like me nā lāʻau lapaʻau a pau, loaʻa iā HIPEC nā pono a me nā pilikia.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

Hiki ke loli nā mea ma muli o kou kūlana ma hope o ke ʻoki kino.

• E noho i loko o ka Intensive Care Unit (ICU): Hiki ke mālama ʻia ʻoe i loko o ka ICU no kekahi mau lā ma hope o ke ʻoki kino, kahi e nānā pono ʻia ai ʻoe. Hiki ke hoʻopili ʻia paha ʻoe i kahi ventilator e kōkua iā ʻoe e hanu.
• ʻO ka hānai ʻana ma o kahi ʻōmole: A hiki i ka wā e hoʻi ai kou hana ʻōpū i ka maʻamau, hiki ke hāʻawi ʻia iā ʻoe ka meaʻai wai ma o kahi ʻōmole hānai i hoʻokomo ʻia ma kou ihu.
• Nā hopena ʻaoʻao: Hiki ke hana ʻia kēia mau mea i ka wā hoʻōla:
• Hoʻopiha i ka ʻōpū
• Ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi kahe
• Luhi nui
• Ka luaʻi a me ka luaʻi
• ʻEha a puni nā alanui i ʻoki ʻia
• Ka pehu ʻana (ma muli o ka wai saline i hoʻohana ʻia e holoi i loko o ka ʻōpū)

ʻEhia ka lōʻihi e ho'ōla ai?

Hiki ke hala ma waena o 4 a 12 mau pule e ho'ōla piha ai mai kēia lāʻau lapaʻau. Hoʻokomo pū kēia i kekahi mau lā a ʻelua pule ma ka haukapila. E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi no ka mālama ʻana iā ʻoe iho ma hope o kou hoʻi ʻana i ka home.

I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home, pono ʻoe e kāhea koke aku i kāu kauka.

Nā ʻano lāʻau lapaʻau i hoʻohana ʻia no HIPEC

Aia kekahi mau ʻano lāʻau chemotherapy i hoʻohana pinepine ʻia no kēia lāʻau. E wehewehe ke kauka i nā lāʻau lapaʻau e hāʻawi ʻia nei iā ʻoe a no ke aha.

• ʻO Carboplatin
• ʻO Cisplatin
• ʻO Doxorubicin
• Mitomycin
• ʻOxaliplatin

Paipai wale nā ​​kauka i ka lāʻau HIPEC inā ʻoi aku ka maikaʻi o nā pono ma mua o nā pilikia. Inā ʻōlelo ʻia kēia lāʻau iā ʻoe, e nīnau pono i kāu kauka no ke aha a me nā hopena āu e manaʻo ai ma muli o kou kūlana.